| NPI | 1629624531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 67410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124456) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2021-01-05 |